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KMID : 1037520210370040037
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Vascular Specialist International
2021 Volume.37 No. 4 p.37 ~ p.37
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Direct Iliac Vein Stenting in Phlegmasia Cerulea Dolens Caused by May-Thurner Syndrome
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Galanakis Nikolaos
Kontopodis Nikolaos
Kehagias Elias
Daskalakis Nikolaos
Tsetis Konstantinos
Ioannou Christos V.
Tsetis Dimitrios
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Abstract
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Phlegmasia cerulea dolens (PCD) is an uncommon but potentially limb-threatening complication of acute deep vein thrombosis. A 56-year-old male presented with PCD. Color Doppler ultrasonography revealed extensive thrombosis of the left superficial and common femoral and external and common iliac veins. After an unsuccessful iliofemoral thrombectomy, contrast-enhanced computed tomography revealed iliofemoral deep vein thrombosis due to May?Thurner syndrome (MTS). After the deployment of an inferior vena cava filter, the thrombotic occlusion was traversed with a guidewire and direct stenting was performed to achieve immediate recanalization. The patient was discharged two days after the procedure, demonstrating significant clinical improvement. MTS is a rare cause of PCD. Direct iliac vein stenting may be a safe and effective alternative treatment for rapid recanalization if percutaneous mechanical thrombectomy devices are unavailable.
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KEYWORD
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Phlegmasia cerulea dolens, May-Thurner syndrome, Deep venous thrombosis, Direct stenting
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